Application for Employment

An Equal Opportunity Employer Our Company is dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, national origin, disability, or other classes protected by state or local laws. Should you need assistance in filling out this application please ask a member of management.

Full Name
*

First Name Middle Name Last Name

Address
*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Phone Number
*

-
Area Code Phone Number

E-mail
*

Position Desired

Referred By

Salary Desired

Date You Can Start
*

-
Month
-
Day Year

Are you legally able to work in the U.S.?
*

Yes No

Days and Hours Not Available to Work

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Can you work weekends and holidays?

Yes No

If no, explain:

Have you ever been convicted, or pled guilty or no contest to a felony offense?

Yes No

Checking "yes" will not necessarily disqualify you from employment.

If yes, explain:

Education:

What is your current grade or education background?

Are you currently attending school?

Yes No

If yes, where and what is your typical schedule?

Do you have any cash handling or computer skills? If so, give details:

References:

Reference 1

Name of Reference

Relationship

Years Acquainted

Phone

Email

Reference 2

Name of Reference

Relationship

Years Acquainted

Phone

Email

Current Employment:

Current Employer

Name of Current Employer or NONE if not Employed

Position

Salary

Reason for Leaving?

Start Date

-
Month
-
Day Year

May We Contact?

Yes No

Previous Employment:

Previous Employer

Name of Previous Employer

Position

Salary

Reason for Leaving?

Start Date

-
Month
-
Day Year

End Date

-
Month
-
Day Year

Previous Employer

Name of Previous Employer

Position

Salary

Reason for Leaving?

Start Date

-
Month
-
Day Year

End Date

-
Month
-
Day Year

Explain any unusual gaps in employment:

Have you worked here previously?

Yes No

If yes, please give location(s) and dates:

Any other information you would like to provide:

Emergency Contact:

Phone Number:

Send Application:

By clicking the submit button below, I hereby certify that the information provided in this Application for Employment is true, correct and complete. Any misstatement or omission of fact on this application may result in the rejection of my application or in my termination, if employed by Lafitte Cinema. I understand that acceptance of an offer of employment does not create a contractual obligation upon Lafitte Cinema to continue to employ me in the future. I authorize Lafitte Cinema to contact any educational institutions, former employers, or other individuals and entities having information concerning me to make inquiries and obtain information, including personnel files, relevant to my background, performance and abilities as an employee or relating to my application for employment. I hereby release all such entities and individuals from any and all claims, including but not limited to claims of defamation, associated with the release of disclosure of such information to Lafitte Cinema. I agree that a copy of this authorization and release may be accepted with the same authority as the original.should an individual seek consideration for employment, he/she must reapply.